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Psych - Test III

Question

Answer

Demographics of suicide-who is most at risk? What is the incidence?

Over 90% have a psychiatric illness, and over 50% are under active psychiatric or mental health care. 25-34; leading cause of death. 15-24; second. 10-14 and 35-44; third. 45-54; fourth. 55-64; seventh.

Self mutilation-what is the motivation?

Attempt to affirm reality, relieve tension, deal with anxiety and stress rather than to die. Only about 10% progress to suicide.

What is the cultural/religious influence on suicide rates? How important is resilience?

White and Native American are twice as likely to commit suicide than Black, Hispanic, and Asian/PI. Resilience , regardless of worldview, gave people more reasons to live.

The nurse can start suicide precautions in an emergency and…

then follow up with an MD order

Suicide assessment…what questions should be asked and how

Be very direct. How bad are things for you? Do you ever think of harming yourself when you’re down? Have you ever thought of taking your own life? How long have you felt this? What is your plan?

Aggression to people or animals, destruction of property, deceitfulness or theft, or serious violation of rules.

Adjustment Disorder

One or more life changes from losses due to death, relocation, dependence, loss of autonomy, retirement, illness, and financial stress. Cause anxiety, depression, mixed emotions, physical complaints, and withdraw.

ADHD Symptoms

inattention to the surrounding environment, and hyperactivity and/or impulsiveness. (must be inconsistent with developmental age.)

A contract = greater sense of control over their own behavior. Written; the form is less important than the way the nurse and client jointly set goals and expectations, carry out the contract, renegotiate terms, and evaluate the final outcome.

How to intervene with a violent adolescent

Should be designed to maximize the resilience of clients acting out self-destructive life scripts. If uncomfortable, you compromise your effectiveness.

Adolescents and substance abuse. Risk? Symptoms?

Great risk, because most adolescents find it acceptable. < School/work performance, caught, uses during stress or boredom, < in relationships, high alone rather than with others.

Theoretical, represents self-awareness and self-disclosure in relation to other people. (known to self, blind to self, known to others, hidden from others)

What is group cohesion? What will strengthen it? What will weaken it?

spirit of common purpose, not born, but made. >Attendance, arrive on time, stay with group, member participation, “we”, enjoy interacting with one another.

3 basic interpersonal needs

Inclusion (need for relationships and others with you. Outgoing/Privacy). Control (need for relationship with regard to power, influence, take charge). Affection (need for relationship with others with regard to love and affection. Love and be loved).

Often antipsychotic meds. Atypical antipsychotic medication like Haldol, prolixin, or Thorazine used unless the person is known to be prone for side effects. If that is the case-anatypical antipsychotic medication may be used like zyprexa, risperdol, etc…